Nonobstetric Surgery During Pregnancy
Keywords:
Pregnancy, Comorbidity, Incidence, Parturition.
Abstract
Introduction: The incidence of non-obstetric surgery during pregnancy is from 1.5 % to 2.0 %. Currently the anesthesiologist faces new diagnostic techniques and therapeutics procedures which generate many issues both to patients as well as the medical personnel responsible.
Objective. To discuss the most important aspects for the anesthesiologist when caring for a pregnant patient with comorbidities that requires surgical management.
Methodology. Nonsystematic review of of the indexed literature available at PUBMED from year 2001 through 2011.
Conclusions. The assessment and approach to a pregnant patient that will be subject to a nonobstetric surgery should be made by an multidisciplinary group to guarantee the well-being of the mother and fetus.
References
1. Kuczkowski KM. Nonobstetric surgery during pregnancy: what are the risks of anesthesia?. Obstet Gynecol surv. 2004;59(1):52-56.
2. Ni Mhuireachtaigh R, O´Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth. 2006;18(1):60-6.
3. Mazze RI, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol. 1989;161(5):1178-8.
4. Manley S, de Kelaita G. Preoperative pregnancy testing in ambulatory surgery. Incidence and impact of positive results. Anesthesiology. 1995; 83(4):690-3.
5. Van de Velde M. Nonobstetric surgery during pregnancy. In: Chestnut DH, ed. Obsteric Anesthesia: Principle and Practice. St Louis: Elsevier Mosby. 2009:337-58.
6. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anesthesiol. 2007;73(4):235-40.
7. Rosen MA. Management of anesthesia for the pregnant surgical patient. Anesthesiology. 1999;91(4):1159- 63.
8. Mazze R, Wilson AI, Rice SA. Reproduction and fetal development rats exposed to nitrous oxide. Teratology. 1984;30(2):259-65.
9. Sanders R, Weimann J, Maze M. Biologic effects of nitrous oxide. Anesthesiology. 2008;109:707-22.
10. Shiono P, Millis J. Oral clefts and diazepam use during pregnancy. N Engl J Med. 1984;311(14):919-20.
11. Martin LV, Jurand A. The absence of teratogenic effects of some analgesics used in Anaesthesia. Anaesthesia 1992;47(6):473-6.
12. Guay J, Grenier Y. Clinical pharmacokinetics of neuromuscular relaxants in pregnancy. Clin Pharmacokinet. 1998;43(6):483.
13. Clark RB, Brown MA. Neostigmine, atropine and glycopyrrolate: does neostigmine cross placenta? Anesthesiology. 1996;84(2):450-2.
14. Stange K, Halldin M. Hipothermia in pregnancy. Anesthesiology. 1983;56:460-1.
15. Newman B, Larn AM. Induced hypotension for clipping of a cerebral aneurysm during pregnancy. Anesth Analg. 1986;65:675-8.
16. Stricklad R, Oliver W. Anesthesia, cardiopulmonary bypass, and the pregnant patient. Mayo Clin Proc. 1991;66:411-29.
17. Jarufe N, Soza A. Successful liver transplantation and delivery in a woman with fulminant hepatic failure occurring during the second trimester of pregnancy. Liver Int. 2006;26:494-97.
18. Kamban JR, Handte RE. The effect of normal and preeclamptic pregnancies on the oxyhemonoglobin dissociation curve. Anesthesiology. 1986;65(4):426-7.
19. Kilpatric CC, Puig C, Chohan L. Intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy: a practice survey. South Med J. 2010;103(3):212-5.
20. Kendrick JM. Neiger R. Intraoperative fetal monitoring during nonobstetric surgery. J Perinatol. 2000;20(4):276-7.
21. Horrigan TJ, Villareal R. Are obstetrical personnel required for intraoperative fetal monitoring during nonobstetrical surgery? J Perinatol. 1999;19(2): 124-6.
22. ACOG committee opinion on Obstetric Practice. Nonobstetric surgery in pregnancy. Number 474. Obstet Gynecol. 2011;117(2 Pt):420-1.
23. Goodman S. Aneshtesia for nonobstetric surgery in the pregnant patient. Semin perinatal. 2002; 26(2):136-45.
24. Mazze RI, Kallen B. Appendectomy during pregnancy: a swedish registry study of 778 cases. Obstet Gynecol. 1991;77(6):835-40.
25. Groom KM. Pharmacological prevention of prematurity. Best Pract Res Clin Obstet Gynaecol. 2007; 21(5):843-56.
26. Shim JY, Park YW. Multicentre, parallel group, randomised, single-blind study of safety and efficacy of atosiban versus ritodrine in the treatment of acute preterm labour in korean women. BJOG. 2006; 113(11):1228-34.
27. Cherry SH. The pregnant patient: need for surgery unrelated to pregnancy. Mt Sinai J Med. 1991;58(1): 81-4.
28. Hawkins J. Anesthesia-related maternal mortality. Clin Obstet Gynecol. 2003;46:679-87.
29. Russell R. Failed intubation in obstetrics: a self-fulfilling prophecy. Int J Obstet Anesth. 2006;16:1-3.
30. Samsoon G, Young J. Difficult tracheal intubation: a retrospective study. Anaesthesia. 2000;55:690-4.
31. Duhl A, Paidas MJ. Antithrombotic therapy and pregnancy: consensus report and recommendations for prevention and treatment of venous thromembolism and adverse pregnancy outcomes. Am J Obstet Gynecol. 2007;197(5):457 e1-21.
32. Check T, Baird E. Anesthesia for nonobstetric surgery: maternal and fetal considerations. Clin Obstet Gynecol. 2009;52(4):535-45.
33. Chohan L, Kilpatric CC. Laparoscopy in pregnancy: a literature review. Clin Obstet Gynecol. 2009;52(4):557-69.
34. Steinbrook RA. Anaesthesia, minimally invasive surgery and pregnancy. Best Pract Res Clin Anaesthesiol. 2002;16(1):131-143.
35. Corneille MG, Gallup TM. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg. 2010;200(3):363-7.
36. Bisharah M, Tulandi T. Laparoscopic surgery in pregnancy. Clin Obstet Gynecol. 2003;46(1):92-7.
37. Jackson H, Grander S. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc. 2008;22(9):1917-27.
38. Reedy MB, Kallen B. Laparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol. 1997;177(3):673-9.
39. Bani Hani MN. Laparoscopic surgery for symptomatic cholelithiasis during pregnancy. Surg Laparosc Endosc Percutan Tech. 2007;17(6): 482-6.
40. O'Rourke N, Kodali BS. Laparoscopic surgery during pregnancy. Curr Opin Anaesthesiol. 2006;19(3): 254-9.
41. Bhavani-Shankar K, Steinbrook RA. Arterial to endtidal carbon dioxide pressure difference during laparoscopic surgery in pregnancy. Anesthesiology. 2000;93(2):370-3.
42. Rojansky N, Shushan A, Fatum M. Laparoscopy versus laparotomy in pregnancy: a comparative study. J Am Assoc Gynecol Laparosc. 2002;9(1):108-10.
43. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Guidelines Committee of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Surg Endos. 2008;22(4):849-61. www.sages.org
44. Fatum M, Rojansky N. Laparoscopy surgery during pregnancy. Obstet Gynecol Surv. 2001;56(1):50-9.
45. Steinbrook RA, Bhavani-Shankar K. Hemodynamics during laparoscopic surgery in pregnancy. Anesth Analg. 2001;93(6):1570-1.
46. Confidential Inquiry into Maternal and Child health, saving mother's lives. The seventh repot of the confidential inquires into maternal death in the United Kingdom, London, CEMACH, 2007.
47. Miller LJ. Use of electroconvulsive therapy during pregnancy. Hosp community Psychiatry. 1994; 45:444-450.
48. Pinette MG, Santarpio C. Electroconvulsive therapy in pregnancy. Obstet Gynecol. 2007;110:465-6.
49. Anderson El, Reti IM. ECT in pregnancy: a review of literature from 1941 to 2007. Psychosom Med. 2009;71(2):235-42.
50. Menson SJ. Psychotropic medication during pregnancy and lactation. Arch Gynecol Obstet. 2008; 277(1):1-13.
2. Ni Mhuireachtaigh R, O´Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth. 2006;18(1):60-6.
3. Mazze RI, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol. 1989;161(5):1178-8.
4. Manley S, de Kelaita G. Preoperative pregnancy testing in ambulatory surgery. Incidence and impact of positive results. Anesthesiology. 1995; 83(4):690-3.
5. Van de Velde M. Nonobstetric surgery during pregnancy. In: Chestnut DH, ed. Obsteric Anesthesia: Principle and Practice. St Louis: Elsevier Mosby. 2009:337-58.
6. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anesthesiol. 2007;73(4):235-40.
7. Rosen MA. Management of anesthesia for the pregnant surgical patient. Anesthesiology. 1999;91(4):1159- 63.
8. Mazze R, Wilson AI, Rice SA. Reproduction and fetal development rats exposed to nitrous oxide. Teratology. 1984;30(2):259-65.
9. Sanders R, Weimann J, Maze M. Biologic effects of nitrous oxide. Anesthesiology. 2008;109:707-22.
10. Shiono P, Millis J. Oral clefts and diazepam use during pregnancy. N Engl J Med. 1984;311(14):919-20.
11. Martin LV, Jurand A. The absence of teratogenic effects of some analgesics used in Anaesthesia. Anaesthesia 1992;47(6):473-6.
12. Guay J, Grenier Y. Clinical pharmacokinetics of neuromuscular relaxants in pregnancy. Clin Pharmacokinet. 1998;43(6):483.
13. Clark RB, Brown MA. Neostigmine, atropine and glycopyrrolate: does neostigmine cross placenta? Anesthesiology. 1996;84(2):450-2.
14. Stange K, Halldin M. Hipothermia in pregnancy. Anesthesiology. 1983;56:460-1.
15. Newman B, Larn AM. Induced hypotension for clipping of a cerebral aneurysm during pregnancy. Anesth Analg. 1986;65:675-8.
16. Stricklad R, Oliver W. Anesthesia, cardiopulmonary bypass, and the pregnant patient. Mayo Clin Proc. 1991;66:411-29.
17. Jarufe N, Soza A. Successful liver transplantation and delivery in a woman with fulminant hepatic failure occurring during the second trimester of pregnancy. Liver Int. 2006;26:494-97.
18. Kamban JR, Handte RE. The effect of normal and preeclamptic pregnancies on the oxyhemonoglobin dissociation curve. Anesthesiology. 1986;65(4):426-7.
19. Kilpatric CC, Puig C, Chohan L. Intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy: a practice survey. South Med J. 2010;103(3):212-5.
20. Kendrick JM. Neiger R. Intraoperative fetal monitoring during nonobstetric surgery. J Perinatol. 2000;20(4):276-7.
21. Horrigan TJ, Villareal R. Are obstetrical personnel required for intraoperative fetal monitoring during nonobstetrical surgery? J Perinatol. 1999;19(2): 124-6.
22. ACOG committee opinion on Obstetric Practice. Nonobstetric surgery in pregnancy. Number 474. Obstet Gynecol. 2011;117(2 Pt):420-1.
23. Goodman S. Aneshtesia for nonobstetric surgery in the pregnant patient. Semin perinatal. 2002; 26(2):136-45.
24. Mazze RI, Kallen B. Appendectomy during pregnancy: a swedish registry study of 778 cases. Obstet Gynecol. 1991;77(6):835-40.
25. Groom KM. Pharmacological prevention of prematurity. Best Pract Res Clin Obstet Gynaecol. 2007; 21(5):843-56.
26. Shim JY, Park YW. Multicentre, parallel group, randomised, single-blind study of safety and efficacy of atosiban versus ritodrine in the treatment of acute preterm labour in korean women. BJOG. 2006; 113(11):1228-34.
27. Cherry SH. The pregnant patient: need for surgery unrelated to pregnancy. Mt Sinai J Med. 1991;58(1): 81-4.
28. Hawkins J. Anesthesia-related maternal mortality. Clin Obstet Gynecol. 2003;46:679-87.
29. Russell R. Failed intubation in obstetrics: a self-fulfilling prophecy. Int J Obstet Anesth. 2006;16:1-3.
30. Samsoon G, Young J. Difficult tracheal intubation: a retrospective study. Anaesthesia. 2000;55:690-4.
31. Duhl A, Paidas MJ. Antithrombotic therapy and pregnancy: consensus report and recommendations for prevention and treatment of venous thromembolism and adverse pregnancy outcomes. Am J Obstet Gynecol. 2007;197(5):457 e1-21.
32. Check T, Baird E. Anesthesia for nonobstetric surgery: maternal and fetal considerations. Clin Obstet Gynecol. 2009;52(4):535-45.
33. Chohan L, Kilpatric CC. Laparoscopy in pregnancy: a literature review. Clin Obstet Gynecol. 2009;52(4):557-69.
34. Steinbrook RA. Anaesthesia, minimally invasive surgery and pregnancy. Best Pract Res Clin Anaesthesiol. 2002;16(1):131-143.
35. Corneille MG, Gallup TM. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg. 2010;200(3):363-7.
36. Bisharah M, Tulandi T. Laparoscopic surgery in pregnancy. Clin Obstet Gynecol. 2003;46(1):92-7.
37. Jackson H, Grander S. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc. 2008;22(9):1917-27.
38. Reedy MB, Kallen B. Laparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol. 1997;177(3):673-9.
39. Bani Hani MN. Laparoscopic surgery for symptomatic cholelithiasis during pregnancy. Surg Laparosc Endosc Percutan Tech. 2007;17(6): 482-6.
40. O'Rourke N, Kodali BS. Laparoscopic surgery during pregnancy. Curr Opin Anaesthesiol. 2006;19(3): 254-9.
41. Bhavani-Shankar K, Steinbrook RA. Arterial to endtidal carbon dioxide pressure difference during laparoscopic surgery in pregnancy. Anesthesiology. 2000;93(2):370-3.
42. Rojansky N, Shushan A, Fatum M. Laparoscopy versus laparotomy in pregnancy: a comparative study. J Am Assoc Gynecol Laparosc. 2002;9(1):108-10.
43. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Guidelines Committee of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Surg Endos. 2008;22(4):849-61. www.sages.org
44. Fatum M, Rojansky N. Laparoscopy surgery during pregnancy. Obstet Gynecol Surv. 2001;56(1):50-9.
45. Steinbrook RA, Bhavani-Shankar K. Hemodynamics during laparoscopic surgery in pregnancy. Anesth Analg. 2001;93(6):1570-1.
46. Confidential Inquiry into Maternal and Child health, saving mother's lives. The seventh repot of the confidential inquires into maternal death in the United Kingdom, London, CEMACH, 2007.
47. Miller LJ. Use of electroconvulsive therapy during pregnancy. Hosp community Psychiatry. 1994; 45:444-450.
48. Pinette MG, Santarpio C. Electroconvulsive therapy in pregnancy. Obstet Gynecol. 2007;110:465-6.
49. Anderson El, Reti IM. ECT in pregnancy: a review of literature from 1941 to 2007. Psychosom Med. 2009;71(2):235-42.
50. Menson SJ. Psychotropic medication during pregnancy and lactation. Arch Gynecol Obstet. 2008; 277(1):1-13.
How to Cite
1.
Socha García NI, Gómez Morant JC, Holguín González E. Nonobstetric Surgery During Pregnancy. Colomb. J. Anesthesiol. [Internet]. 2020 Jul. 1 [cited 2024 Apr. 29];39(3):360-73. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/842
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2020-07-01
How to Cite
1.
Socha García NI, Gómez Morant JC, Holguín González E. Nonobstetric Surgery During Pregnancy. Colomb. J. Anesthesiol. [Internet]. 2020 Jul. 1 [cited 2024 Apr. 29];39(3):360-73. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/842
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